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HomeMy WebLinkAboutES-BUSINESS PLAN 11/8/2001FACILITY NAME 7- Il f'~c~r Morc~ ADDRESS I"/O I ~0,¢{~-e O 0-c(. FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. 9~3q- BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ~ Combined [~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C'V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address L. / Correct occupancy Verification of inventory materials X.., Verification of quantities L,, Verification of location ,..,,, Proper segregation of material Verification of MSDS availability L, Verification of Haz Mat training L,,'"" Verification of abatement supplies and procedures Emergency procedures adequate x.,,/ L Containers properly labeled k.,, Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: Yes [~ No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Busi~ble Party 'Inspector: ~/~ [/.~d~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ -It ~ ,,~'~,_. Section 2: Underground Storage Tanks Program [] Routine [~ Combined [] Joint Agency Type of Tank ~)0~ Type of Monitoring ¢ ~ t~ INSPECTION DATE [] Multi-Agency [] Complaint Number of Tanks ~ Type of Piping 0tO~ [] Re-inspection OPERATION C V COMMENTS Proper tank data on file V/ Proper owner/operator data on file Permit tees current Certification of Financial Responsibility lot/ Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: _ ~J~/~j ~ Office of Environmental Services (805) 326-3979 White- Env. Svcs. Pink - Business Copy FACILITY NAME AVVRESS i?0 t FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 r S. CT O oAT PHONE NO. °d3q-I 3S"O BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [21 Routine '~ Combined 121 Joint Agency . I~ Multi-Agency [21 Complaint [~ Re-inspection OPERATION C Vi COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes ~l No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow. Station Copy Pink - Business Copy Business Site//Re~onsible Party Inspector: ~ ~.~g~ Bakersfield Fire Dept. Hazardous Materials Inspection Date Completed Business Name: 7- t I ~F'O FL~ Location: t 701 ?~h~c(~ Ccc] Plan ID # 215-000 ~0 q (Top right comer Business Plan) Station No. SEP 2 7 !990 H,a.7_.. MAT. DIV. Adequate Inadequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comlnents: Verification of MSDS Availability Number of Employees Verification of Haz ,v,,~L ,~aining' Comments: Verification of Abatement Supplies & Procedures ComlTtents: Emergency Procedures Posted Containers Properly Labeled Comments: N ~ S Verification of Facility Diagram 'Vt) ?0ST' Special Hazards Associated with this Facility: Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office HAZA MATERIALS INSPECTION I'NSPIECTTON DATE: VERIFICATION OF I~R¥ MATI~IALS V'~RTF'rCATTON OF QUANTTTTF~ VERTFTCATION OF LOCATION PROPER S~TION OF NA~ VILIFICATION OF Ritz NAT 'I'RAXN~ VERIFICILTI(~ OF FACIiLITY D~,GRJ~I SPECIA~ ~tZARDS ASSOCIA~ NITH THIS FACILITY: VIOLATIONS: CITY OF BAKI~SFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Facility Phone No. INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional tees. TANKS AND BACKFILL INSPECTION I DATE I INSPECTOR /~ Backfill of Tank(s) ~/~ Spark'Test Certification or Manufactures Method '~f~ Cathodic Protection of Tank(s) PIPING SYSTEM Piping& Raceway w/Collection Sump A~t,~ Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test  - Leak Detection Device(s) for Vadose/Groundwater l.~I~' Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock /, Monitoring Requirements Typ ~ ' Authorization for Fuel Drop CONTRACTOR CONT^CT UCENS~# '/l" t, oAg~G,